Colorado Eye Center, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

COLORADO EYE CENTER, LLC

Practice address

1371 E Hecla Dr
Ste C
Louisville, CO 80027-2327

Phone

(303) 666-7226

Fax

(303) 665-3367

NPI assigned

Jul 1, 2008

Last updated

Nov 30, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. George Neal

Title

Chief Executive Officer

Phone

(844) 377-6468

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Colorado Eye Center, LLC

  • Optometrist
  • Thornton, CO
  • NPI 1154592228

  O20040309000069

  Same enrollment
• Colorado Eye Center, LLC

  dba Great Vision Eye Care

  • Optometrist
  • Broomfield, CO
  • NPI 1366516825

  O20040309000069

  Same enrollment
• Colorado Eye Center, LLC

  • Optometrist
  • Thornton, CO
  • NPI 1659495810

  O20040309000069

  Same enrollment
• Colorado Eye Center, LLC

  • Durable Medical Equipment & Medical Supplies
  • Denver, CO
  • NPI 1912374653

  O20040309000069

  Same enrollment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1427210343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GARDEN CTR STE 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207090",
            "telephone_number": "303-469-1941",
            "fax_number": "303-469-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 E HECLA DR",
            "address_2": "STE C",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272327",
            "telephone_number": "303-666-7226",
            "fax_number": "303-665-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO EYE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "844-377-6468",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coal Creek Diagnostics, LLC
• Coal Creek Family Medicine
• Coal Creek Family Medicine LLC
• Coal Creek Physical Therapy, LLC
• John David Coffey, LSW
• Colorado Heart and Vascular PC
• Colorado Orthotic & Prosthetic Services, LLC
• Colorado Spine and Sport
• Colorado Surgical Assisting, LLC
• Colorado Wellness Centers, P.C. (Louisville Chiropractic Clinic)

• Optometrist in Louisville, CO
• Providers in Louisville, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.